小儿支原体肺炎68例临床分析

Clinical analysis on 68 cases of mycoplasma pneumonia in children

目的 :分析小儿支原体肺炎的临床特点和诊断治疗。方法 :回顾性分析我科收治的 68例小儿支原体肺炎病例资料 ,对其发病情况、临床表现、实验室检查及治疗进行综合分析。结果 :以学龄儿童多见 (55 9% ) ,临床均有发热、咳嗽 ,高热多见 (66 2 % ) ,病初干咳 ,继则顽固性剧咳 ,阵咳多见 (82 3 % ) ,肺部体征多不明显 ;X线改变以间质性肺炎改变占优势 (44 1 % ) ;血清MP-IgM均≥ 1∶80 ;红霉素 ,阿齐霉素治疗效果好。结论 :小儿支原体肺炎主要表现为高热 ,剧咳 ,陈咳 ,肺部体征少 ,胸部X线表现显著 ,与临床体征不相符 ,以间质性炎症改变为主。检查血清MP -IgM≥ 1∶80 ,红霉素 。

Objectives To study the clinical characteristics,diagnosis and treatment of mycoplasma(M) pneumonia in children.Mothods A retrospective study was performed in 68 cases with M.pneumonia,the occurrence,clinical manifestations,Lab.findings,chest X-rays and treatmeat were syntheticully studied.Results The peak incidence of illness occurs in school children(55 9%).all patients had fever and cough,high fever(>39℃)were usual (66 2%),the cough was nonproductive initially,then turn to forcefully or paroxysmally cough ,on physical examination,most patients did not appear acutely ill .Chest X-ray showed 44 1% cases were interstitial pneumonia,serum MP-IgM≥1∶80,it was effectively to treat M.pneumonia with erythromycin or azithromycin.Conclusions The clinical manifestions of M.pneumonia were high fever,forceful or paraxysmal cough;on auscultation,the signs of lung were unclear,chest radiagraphic abnormalities were usually out of proportion to the physical examination findings,M.pneumonia has a predilection for the low lobes and usually causes patchy alveolar or retcular infiltrate,serum MP-IgM titer elevate,erythromycin or azithromycin was effective for treatment M.pneumonia.